Fixing the Behavioral Health Crisis on Our Streets

Mayor Breed with Dr. Grant Colfax and Dr. Anton Nigusse Bland, the newly appointed Director of Mental Health Reform.
  • 41% are high users of urgent and emergent psychiatric services. This is compared to just 15% of the overall homeless population who are high users of these services.
  • 95% suffer from alcohol use disorder.
  • 35% are African American — despite the fact that African Americans make up just 5% of the overall City population.
  • Strengthening the City’s conservatorship laws, which now allow the City to compel individuals who are not capable of caring for themselves due to severe mental health and addiction into treatment. As a result of Senator Scott Wiener’s SB 1045 and SB40 legislation, it’s estimated that the City will now be able to conserve roughly 100 more people than before.
  • Connecting the 230 most vulnerable people with care coordinators and assess each person’s health needs. DPH will then create and implement individualized plans to help each person get the care they need.
  • Streamlining housing and healthcare. Multiple City departments are working together to make it more straightforward for people to get connected to shelter and permanent supportive housing. The Departments will assign each person a care coordinator, create individual street-to-home plans, and provide access to treatment slots, disability services, housing navigation services and benefits.
  • Expanding the hours of the Behavioral Health Access Center (BHAC), which is as centralized location for drop-in behavioral health care services, and providing on-call transportation so people can get connected to services. Starting in 2020, the BHAC will be open 65 hours per week, up from 40 hours per week. BHAC staff triage and assess clients’ needs, help them enroll in benefits such as Medi-Cal, find placements in treatment programs, and connect clients to other services like medical screenings and primary care.
  • Partnering with Tipping Point Community to open 15 new Hummingbird psychiatric respite beds. Hummingbird beds will primarily serve homeless individuals who may be thinking about entering into treatment or care settings, but have not yet enrolled in these voluntary services.
  • Creating a real-time inventory of treatment beds. This will allow potential clients and service providers to search for availability of
    San Francisco’s 350 short-term residential treatment beds, which people can request for themselves when they are ready for care. The new inventory will be available online in November, and DPH is also working on a new comprehensive bed management tool for the entire behavioral health system.
  • Investing $50 million to support the expansion of behavioral health and other services. This funding will support over 100 additional behavioral health treatment and recover beds, bringing the total number of behavioral beds that I’ve funded since taking office to over 200.
  • Stabilizing existing residential care facilities by increasing subsidies for providers. These facilities, also known as Board and Care facilities, provide both short- and long-term placements for people with behavioral health challenges, including individuals who are conserved or have exited conservatorship. We’re also exploring options to open new Board and Care beds and acquire facilities that are at risk of closing.



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London Breed

London Breed

45th Mayor of the City and County of San Francisco